Individual
HEMANTH KILARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7615
Mailing address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61372981
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/21/2020
Last updated
07/13/2023
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